Understanding and Measuring - Institute of Global Homelessness
Transcription
Understanding and Measuring - Institute of Global Homelessness
Understanding and Measuring Homelessness in Canada Stephen Gaetz Canadian Observatory on Homelessness Professor, Faculty of Education, York University, Toronto, Canada Homelessness in a Global Landscape June 1-2, 2014 Part 1 WHY research and data matter! Three Uses of Research • Conceptual • Instrumental • Symbolic (Amara, Ouimet, Landry, 2004) Part 2 Homelessness in Canada Canada Population: 35 Million Government of Canada Homelessness Partnering Strategy • Began in 1999 • Funding to communities • Support for research! HPS support for 61 “Designated Communities Provinces and Territories Key responsibilities for: • • • • • • Health care Social services Child protection Corrections Housing Municipalities Who is homeless? Who is homeless? Who is homeless? Aboriginal Homelessness in Canada Belanger, et al. 2012 Part 3 The Canadian Definition of Homelessness WHY do we need a definition of homelessness? A common Canadian Definition of Homelessness allows us to: • Share a common language about homelessness • More easily enumerate the problem • Evaluate outcomes and progress • Coordinate responses to homelessness • Develop stronger policy responses What we did: a) Conducted an extensive literature review of definitions of homelessness in Canada and abroad b) Assembled a Stakeholder Working Group to craft the definition c) Consulted with other key stakeholders The Canadian Definition of Homelessness DEFINITION Homelessness describes the situation of an individual or family without stable, permanent, appropriate housing, or the immediate prospect, means and ability of acquiring it. It is the result of systemic or societal barriers, a lack of affordable and appropriate housing, the individual/household’s financial, mental, cognitive, behavioural or physical challenges, and/or racism and discrimination. Most people do not choose to be homeless, and the experience is generally negative, unpleasant, stressful and distressing. Part 4 Measuring Homelessness Why do a Count? It tells us how we are doing. • • • Provides a baseline Enables you to measure progress Helps identify priority populations Point in Time Counts in Canada You’ve got to be careful, because if you don’t know where you are going, you might not get there.” Yogi Berra Point in Time Counts in Canada Prior to 2014 Only a handful of communities across Canada had ever done a PiT count, of these an even smaller number reported planning future counts: Calgary, Edmonton, Vancouver, Toronto, Lethbridge, Red Deer, Kamloops These communities were using very different methods (including definitions, time of year, etc.). This makes it difficult to aggregate data and analyze. Communities wedded to their approach and methodology, because of pride and the ability to compare results to previous counts. NATIONAL Point-in-Time Count Winter 2016 Why a common methodology? First, communities have access to evidencebased tools. Don’t have to reinvent the wheel Second, communities can compare results. Third, results can be aggregated to provide reliable provincial / regional / pan Canadian data. Challenges in developing a common method Resistance to alignment: ‘Specialness’ disease. local context considerations; willingness and capacity participate. Who to count? Start with the Canadian Definition of Homelessness Work from the typology What the survey covers? Mandatory minimum data set Additional questions Optional questions 1 2 3 4 • Screening Mandatory questions • Consent • Gender • Age • Ethnicity • Migration • Immigration • Homelessness History • Veteran Status Canadian Point-in-Time Count Methodology and Toolkit What is in the tool kit? 1. Overview of PiT Counts 2. Planning your PiT count 3. Implementation 4. The Survey 5. Working with data 6. Mobilizing results Part 5 Emerging issues in Data 1 Sub-populations Issues of definition, measurement and assessment • Youth • Women • Aboriginal people Sub-populations Issues of definition, measurement and assessment The term “Youth homelessness” refers to the experience of young people between the ages of 13 and 24 who are living independently of parents and/or caregivers, and importantly, lack many of the social supports deemed necessary for the transition from childhood to adulthood. 2 Integrated data management systems • Important for community planning and service integration • Weak systems currently in place • Communities lack resources to invest in this 3 Acuity Assessment and Prioritization • Has become a priority in many communities because of Housing First • Consultant driven Where does ASSESSMENT fit in? Community Priorities Intake Assessment Tool Interventions Case Management Clinical Assessments Data Management Systems (HMIS, HIFIS) 1 A word of CAUTION! AVOID SCIENTISM! Assessment tools are one source of information to guide decision making. They are not magic, and they cannot make decisions for you. Trust your own knowledge as well. 4 Growing interest in understanding hidden homelessness • Challenging to do methodologically • Can link with prevalence studies Questions or comments?